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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_3803_Библиотеки_им_академика_М_И_Перельмана
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9 Intravascular Lithotripsy forCalcied Peripheral Arterial Disease
https://t.me/medicina_free
Case 9.2 Carotid In-Stent Restenosis (ISR): Off-Label Indication!
155
Baseline angiogram demonstrating calcic stenosis of CCA bifurcation with 80% stenosis within
the stent, arrow

156
https://t.me/medicina_free
A. J. Mintz and P. A. Soukas
Baseline optical coherence tomography (OCT) image showing circumferential vessel wall calcication with reduced stent diameters and cross-sectional area

9 Intravascular Lithotripsy forCalcied Peripheral Arterial Disease
https://t.me/medicina_free
157
IVL of the carotid artery with 6mm×60mm Shockwave balloon

158
https://t.me/medicina_free
OCT post-IVL showing doubling of stent lumen cross-sectional area
A. J. Mintz and P. A. Soukas
Post-IVL dilation with a 6mm×40mm Bard Lutonix drug-coated balloon (DCB)

9 Intravascular Lithotripsy forCalcied Peripheral Arterial Disease
https://t.me/medicina_free
159
OCT post-IVL/DCB showing minimal additional lumen gain and stent expansion post- DCB—
most gain from IVL

160
https://t.me/medicina_free
A. J. Mintz and P. A. Soukas
Final angiogram post-IVL/DCB demonstrating excellent stent expansion after IVL/DCB

9 Intravascular Lithotripsy forCalcied Peripheral Arterial Disease
https://t.me/medicina_free
Case 9.3 Calcied Superior Mesenteric Artery Stenosis
161
Baseline angiogram showing celiac occlusion, patent iliac, IMA stents, and patent ostial SMA
stent with proximal SMA calcied stenosis

162
https://t.me/medicina_free
A. J. Mintz and P. A. Soukas
Selective SMA angiogram demonstrating patent ostial SMA stent with calcied proximal stenosis

9 Intravascular Lithotripsy forCalcied Peripheral Arterial Disease
https://t.me/medicina_free
163
Intravascular ultrasound of the SMA

164
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IVUS image showing circumferential severe calcication with high grade cross sectional stenosis
A. J. Mintz and P. A. Soukas
IVL SMA 5.0mm×60mm balloon
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